| 1 | 思舒Teiria 50mg GEL | 支 | 2.00 | $60.00 | $120.00 | |
| 2 | 活路利淨Harnalidge OCAS 0.4mg | 盒 | 4.00 | $380.00 | $1,520.00 | |
| 3 | 必康平錠MICARDIS80mg | 盒 | 1.00 | $275.00 | $275.00 | |
| 4 | 降醣佳(排)Acarose 50ml | 排 | 8.00 | $20.00 | $160.00 | |
| 5 | 所雷帝(排)Dipyridamole 25mg | 排 | 6.00 | $7.00 | $42.00 | |
| 6 | 佳胃(排)Lanpo 30mg | 排 | 4.00 | $48.00 | $192.00 | |
| 7 | 伏痛好(排)Forlition F.C. 80mg | 排 | 3.00 | $71.00 | $213.00 | |
| 8 | 易安穩 Exforge5/80 mg | 盒 | 2.00 | $158.00 | $316.00 | |
| 9 | 易安穩 Exforge5/160mg | 盒 | 1.00 | $320.00 | $320.00 | |
| 10 | 高糖優適GALVUS 50mg | 盒 | 2.00 | $203.00 | $406.00 | |
| 11 | 力安穩Exforge HCT5/160/12.5mg | 盒 | 2.00 | $313.00 | $626.00 | |
| 12 | 岱蜜克龍 Diamicron 30MR | 盒 | 1.00 | $115.00 | $115.00 | |
| 13 | 伯基Bokey 100mg | 盒 | 1.00 | $1,240.00 | $1,240.00 | |